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Quantification of myocardial oxygen consumption with 17O-CMR: initial study
Journal of Cardiovascular Magnetic Resonance volume 13, Article number: P345 (2011)
Impaired myocardial oxygenation leading to ischemia is central to the pathophysiology of coronary artery disease and an important contributor to other common cardiovascular disease conditions such as left ventricular hypertrophy, dilated cardiomyopathy, renal heart disease and valvular heart disease. Positron Emission Tomography (PET) can quantify myocardial oxygen consumption (MVO2), but has limited applications due to its relatively low spatial resolution, high cost, and ionizing radiation.
This study is aiming to develop a new non-invasive CMR method with the use of 17O based blood tracer to assess myocardial oxygenation and MVO2.
The initial 17O-CMR was performed in normal mongrel dogs (n=3) and myocardial ischemic dogs (n=3). The later dogs includes 70% (n=1) and 100% (n=2) area stenosis in the second diagonal branch of the left descending coronary artery (LAD). The 17O blood tracer was prepared using artificial blood perfluorodecalin emulsion or PFD (OxyToT, Rockland Technimed Ltd, Airmont, NY) and 70% enriched 17O2 gas. Each dog was injected 2 mL/kg 17O-PFD at rest within 30 sec. A novel CMR T1ρ-weighted imaging was performed at baseline and then to monitor the myocardial T1ρ signals for over 30 min after the injection. The 17O2 gas absorbed in PFD will be taken up by the myocardial tissue and converted into H217O water, which will be detected by T1ρ-weighted imaging with a negative contrast. The H217O water concentration can be obtained with the ratio between T1ρ-weighted signals after and before the 17O-PFD injection. MVO2 can be quantified using a new model developed in our laboratory. Quantitative perfusion CMR imaging was also performed at the end of study to confirm the ischemic area.
The averaged MVO2 in the anterior myocardial region of three normal dogs was 3.96 ± 0.97 μmol/g/min, which agrees well with MVO2 measured by PET in mongrel dogs. For the 70% stenotic dog, the MVO2 was 2.84 μmol/g/min in the anterior region (normal LAD perfused segment) and 1.57 μmol/g/min in the lateral region (the diagonal branch of LAD perfused segment), respectively (Figure 1). Figure 2 shows quantitative perfusion map and a post-T1p-weighted image in a dog with the 100% stenosis, indicating that oxygen deficit area appeared to be smaller than hypo-perfusion size.
The 17O-CMR may have potential to provide a direct and non-invasive measurement of the oxygen consumption to facilitate comprehensive evaluations of patients at molecular level with a variety of pathophysiological etiologies.
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Zheng, J., Muccigrosso, D. & Abendschein, D. Quantification of myocardial oxygen consumption with 17O-CMR: initial study. J Cardiovasc Magn Reson 13, P345 (2011). https://doi.org/10.1186/1532-429X-13-S1-P345
- Positron Emission Tomography
- Myocardial Oxygen Consumption
- Diagonal Branch
- Quantitative Perfusion
- Enrich 17O2